Clinical and endoscopic findings of children hospitalized in Qa’em Hospital of Mashhad due to caustic ingestion (2011–2013)
Introduction: One of the leading causes of damage to the gastrointestinal tract in children is caustic ingestion which is sometimes life-threatening. The most reliable way to study the severity and extent of damage is endoscopy, which can be harmless in terms of time and technique. The aim of this...
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| Format: | Article |
| Language: | English |
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Electronic Physician
2017-04-01
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| Series: | Electronic Physician |
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| Online Access: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5459299/ |
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| author | Alireza Sabzevari Gholamali Maamouri Mohammad Ali Kiani Masumeh Saeidi Hamidreza Kianifar Seyed Ali Jafari Hamid Ahanchian Lida Jarahi Elham Roudi, Mohammad Sharafkhani |
| author_facet | Alireza Sabzevari Gholamali Maamouri Mohammad Ali Kiani Masumeh Saeidi Hamidreza Kianifar Seyed Ali Jafari Hamid Ahanchian Lida Jarahi Elham Roudi, Mohammad Sharafkhani |
| author_sort | Alireza Sabzevari |
| collection | DOAJ |
| description | Introduction: One of the leading causes of damage to the gastrointestinal tract in children is caustic ingestion
which is sometimes life-threatening. The most reliable way to study the severity and extent of damage is
endoscopy, which can be harmless in terms of time and technique. The aim of this study was to investigate,
evaluate and compare clinical findings and endoscopic results of caustic ingestion.
Methods: This retrospective cross-sectional study was conducted on the records of children diagnosed with
caustic ingestion, and hospitalized in Qa'em Hospital of Mashhad from March 2011 to December 2013. Intended
data were extracted from patients' records and in case of any ambiguity, it was removed by phone call. Obtained
data were analyzed using SPSS 11.5 and chi-square test.
Results: Of 54 patients, there were 36 cases of burn with acidic substance and 16 cases of burn with alkaline. The
highest value was related to caustics related to acid batteries (31.5%) and in 77.5% of cases the container of
caustic agent was not standard. In endoscopic results, 50 patients out of 54, had esophagus burn such that in 6
cases it was grade I burn, in 15 cases grade IIa, 27 cases with grade IIb and 2 cases with Grade IIIa burn. In
addition, mild erythema of stomach in 6 cases, average erythema in 5 cases, mild ulcer in 15 cases, average ulcer
in 5 cases and 3 cases with severe ulcer were reported. There was no significant relation between clinical findings
and endoscopic results (p=0.68). Conclusion: Since caustic ingestion can be regarded as a life-threatening factor for children, the importance of
observing precautions in the storage of caustics and the role of training and adequate attention of parents to this
issue to prevent such accidents is clear. |
| first_indexed | 2024-04-13T03:43:45Z |
| format | Article |
| id | doaj.art-8b38495804bf45a89b26d262ac888e3d |
| institution | Directory Open Access Journal |
| issn | 2008-5842 2008-5842 |
| language | English |
| last_indexed | 2024-04-13T03:43:45Z |
| publishDate | 2017-04-01 |
| publisher | Electronic Physician |
| record_format | Article |
| series | Electronic Physician |
| spelling | doaj.art-8b38495804bf45a89b26d262ac888e3d2022-12-22T03:04:05ZengElectronic PhysicianElectronic Physician2008-58422008-58422017-04-01944248425010.19082/4248Clinical and endoscopic findings of children hospitalized in Qa’em Hospital of Mashhad due to caustic ingestion (2011–2013)Alireza SabzevariGholamali MaamouriMohammad Ali KianiMasumeh SaeidiHamidreza KianifarSeyed Ali JafariHamid AhanchianLida JarahiElham Roudi,Mohammad SharafkhaniIntroduction: One of the leading causes of damage to the gastrointestinal tract in children is caustic ingestion which is sometimes life-threatening. The most reliable way to study the severity and extent of damage is endoscopy, which can be harmless in terms of time and technique. The aim of this study was to investigate, evaluate and compare clinical findings and endoscopic results of caustic ingestion. Methods: This retrospective cross-sectional study was conducted on the records of children diagnosed with caustic ingestion, and hospitalized in Qa'em Hospital of Mashhad from March 2011 to December 2013. Intended data were extracted from patients' records and in case of any ambiguity, it was removed by phone call. Obtained data were analyzed using SPSS 11.5 and chi-square test. Results: Of 54 patients, there were 36 cases of burn with acidic substance and 16 cases of burn with alkaline. The highest value was related to caustics related to acid batteries (31.5%) and in 77.5% of cases the container of caustic agent was not standard. In endoscopic results, 50 patients out of 54, had esophagus burn such that in 6 cases it was grade I burn, in 15 cases grade IIa, 27 cases with grade IIb and 2 cases with Grade IIIa burn. In addition, mild erythema of stomach in 6 cases, average erythema in 5 cases, mild ulcer in 15 cases, average ulcer in 5 cases and 3 cases with severe ulcer were reported. There was no significant relation between clinical findings and endoscopic results (p=0.68). Conclusion: Since caustic ingestion can be regarded as a life-threatening factor for children, the importance of observing precautions in the storage of caustics and the role of training and adequate attention of parents to this issue to prevent such accidents is clear.https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5459299/CausticsEndoscopy |
| spellingShingle | Alireza Sabzevari Gholamali Maamouri Mohammad Ali Kiani Masumeh Saeidi Hamidreza Kianifar Seyed Ali Jafari Hamid Ahanchian Lida Jarahi Elham Roudi, Mohammad Sharafkhani Clinical and endoscopic findings of children hospitalized in Qa’em Hospital of Mashhad due to caustic ingestion (2011–2013) Electronic Physician Caustics Endoscopy |
| title | Clinical and endoscopic findings of children hospitalized in Qa’em Hospital of Mashhad due to caustic ingestion (2011–2013) |
| title_full | Clinical and endoscopic findings of children hospitalized in Qa’em Hospital of Mashhad due to caustic ingestion (2011–2013) |
| title_fullStr | Clinical and endoscopic findings of children hospitalized in Qa’em Hospital of Mashhad due to caustic ingestion (2011–2013) |
| title_full_unstemmed | Clinical and endoscopic findings of children hospitalized in Qa’em Hospital of Mashhad due to caustic ingestion (2011–2013) |
| title_short | Clinical and endoscopic findings of children hospitalized in Qa’em Hospital of Mashhad due to caustic ingestion (2011–2013) |
| title_sort | clinical and endoscopic findings of children hospitalized in qa em hospital of mashhad due to caustic ingestion 2011 2013 |
| topic | Caustics Endoscopy |
| url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5459299/ |
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